INLE MEDICAL GROUP (NPI# 1316568348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316568348 |
| Entity Type | Organization |
| Organization Name | INLE MEDICAL GROUP |
| Practice Address |
23586 Calabasas Rd Ste 107 Calabasas CA 91302-1334 |
| Mailing Address |
Po Box 573304 Tarzana CA 91357-3304 |
| Practice Telephone | 3234574541 |
| Mailing Telephone | 3234574541 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | JONATHAN PRINCE (CEO) |
| Authorized Official Telephone | 6465283261 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
23586 CALABASAS RD STE 107 |
| City | CALABASAS |
| State | CA |
| Zip Code | 91302-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564921 | Joanna Sara Gould | Social Worker | 3520 Consuelo Drive, Calabasas, CA 91302 | 2020-10-08 |
| 1104485069 | Shannon Bright | Behavior Technician | 5741 Las Virgenes Rd, Calabasas, CA 91302 | 2019-06-13 |
| 1356857494 | Evolve Growth Initiatives LLC | Substance Abuse Rehabilitation Facility | 423 Woodbluff Rd, Calabasas, CA 91302 | 2017-12-27 |
| 1700302684 | Supreme Diagnostics Inc. | Radiology | 26213 Veva Way, Calabasas, CA 91302 | 2017-08-22 |
| 1528590817 | Nataliya Bulba | Pharmacist | 5544 Las Virgenes Road 107, Calabasas, CA 91302 | 2017-03-28 |
| 1477933794 | Samantha Cassandra Madziarski | Psychiatry & Neurology | 26135 Mureau Rd Ste 101, Calabasas, CA 91302 | 2015-06-02 |
| 1659778694 | Sharon Hensel-cohen | Speech-Language Pathologist | 4302 Park Paloma, Calabasas, CA 91302 | 2014-11-19 |
| 1699171066 | Deborah Heidi Cohen | Marriage & Family Therapist | 22231 Mulholland Highway, Suite 200, Calabasas, CA 91302 | 2014-11-13 |
| 1801297502 | Laurel Deurmier | Behavioral Analyst | 5741 Las Virgenes Rd Ste A, Calabasas, CA 91302 | 2014-09-12 |
| 1518383520 | Tammy Brandt | Psychologist | 5016 North Parkway Calabasas, 215, Calabasas, CA 91302 | 2014-03-14 |
| Find all providers in zip 91302 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477933794 | Samantha Cassandra Madziarski | Psychiatry & Neurology | 26135 Mureau Rd Ste 101, Calabasas, CA 91302 | 2015-06-02 |
| 1528406451 | Gurpreet S Sandhu | Psychiatry & Neurology | 26135 Mureau Rd, Suite 101, Calabasas, CA 91302-3182 | 2013-06-13 |
| 1518224328 | Robert Joseph Feeley | Psychiatry & Neurology | 23622 Calabasas Rd Ste 320, Calabasas, CA 91302-1574 | 2012-04-18 |
| 1457512584 | Jack Jyh-perng Wu | Psychiatry & Neurology | 5000 North Parkway Calabasas, Ste 103, Calabasas, CA 91302 | 2008-06-20 |
| 1033240155 | Mindy Ann Werner-crohn | Psychiatry & Neurology | 23603 Park Sorrento, Suite 100, Calabasas, CA 91302-1321 | 2007-03-08 |
| 1083769293 | Rod Amiri | Psychiatry & Neurology | 4505 Las Virgenes Rd Ste 211, Calabasas, CA 91302-1956 | 2007-01-25 |
| 1346324183 | Ronald Dean Sager | Psychiatry & Neurology | 4505 Las Virgenes Rd., Calabasas, CA 91302 | 2006-10-25 |
| 1073614913 | Ronald Godwin Persaud | Psychiatry & Neurology | 4505 Las Virgenes Rd Ste 204, Calabasas, CA 91302-1956 | 2006-09-25 |
| 1467473926 | Randall Titcher | Psychiatry & Neurology | 26500 Agoura Rd, 565, Calabasas, CA 91302-1952 | 2006-07-21 |
| 1831551373 | Roaya Namdari | Psychiatry & Neurology | 23622 Calabasas Rd Ste 320, Calabasas, CA 91302-1574 | 2016-03-23 |
| Find all providers in CALABASAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.